远程医疗对边境临界医院的影响:混合方法评估
Saira Haque1, Sydney DeStefano1, Alison Banger1
1RTI International, Research Triangle Park, NC, United States.
JMIR formative research
|September 20, 2023
概括
边境关键接入医院 (CAH) 的远程医疗采用在支持下略有增加,但患者数量低限制了收入. 对于农村地区可持续的远程医疗,需要进一步的援助.
科学领域:
- 农村卫生 农村卫生
- 医疗保健服务研究 医疗服务研究
- 远程医疗远程医疗
背景情况:
- 边境地区因人口密度低而面临医疗保健接入挑战.
- 临界接入医院 (CAH) 对这些地区的初级保健至关重要.
- 特殊护理需要农村居民长途旅行.
研究的目的:
- 评估边境社区卫生整合项目 (FCHIP) 演示活动的影响.
- 评估了远程医疗支付变化和关于远程医疗采用和使用的技术援助.
- 使用混合方法方法来了解CAH中的实施.
主要方法:
- 蒙大拿州,内华达州和北达科他州8个CAH的混合方法评估.
- 进行了关键告密者采访,并审查了项目文件.
- 在FCHIP演示之前和期间分析了Medicare服务费索赔.
主要成果:
- 远程医疗可持续性的关键因素包括员工冠军,基础设施,培训和专家关系.
- 观察到医疗保险计费远程医疗服务的适度增加,集中在少数CAH.
- 尽管销量较低,但患者对远程医疗服务的满意度报告高.
结论:
- 边境CAH的远程医疗采用得到了实施援助的支持,但患者数量仍然很低.
- 报告指出,患者满意度很高,希望获得更多虚拟服务.
- 政策和实践的改进可以集中在社区需求评估,提供商匹配和增强的计费/使用支持上.
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